HomeMy WebLinkAboutPermit Mechanical 2008-5-28
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00747
ISSUED: OS/28/2008
APPLIED: OS/28/2008
EXPIRES: 11/2812008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 568 S 53RD ST
ASSESSOR'S PARCEL NO.: 1802042103000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Heat pump and air handler
Owner: THOMAS WILLIAM H III
Address: 5335 DAISY ST 79
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
ATT~ffl1~eJf~HN'~w requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
tLDIICI:! fl.Wl. Vnl/ m~)( nht!:lin "''':"oc ,..f tho ...1"", "'r
THIS PERMIT SHAll EXPIRE It. I i1~,~Y.~b .. I calling the center. (Note the telephone
AUTHORIZED UNDER THIS PERM.~ron Description number for the Oregon UtIlity Notification
COMMENCED OR IS ABANDONED fq)& Square Footage Center IS 1-800-332-2344).
DescriPRtfY 180 DJ\yeP'E~ftM~ruction or mUl~:I~:r or Bid Amount Value Date Calculated
Notes:
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00747
ISSUED: OS/28/2008
APPLIED: OS/28/2008
EXPIRES: 11/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$20.00
$5.00
$6.00
$2.50
$9.00
$14.00
$27.00
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
Receipt Number
2200800000000000764
2200800000000000764
2200800000000000764
2200800000000000764
2200800000000000764
2200800000000000764
2200800000000000764
Total Amount Paid
$83.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
L Reauired Insoections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 of2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Receipt # EC531034
5/28/2008 11 :31 :46 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New constructIOn
~V" 10{<<< -">>-'i ~~,"M"~n f:j;';''::i~I~u
,*#1~~~<OJ; e~~~~'S, ,1#1'&,'
IKJ AddItIOn/alteration/replacement
I < <1((''''tj0)'''%$1W ' <, (\-i:1iX<'"""J (~"('" ( ~ = " <~ J,,~>tt~(~ '<',." w J"' %)w~ (~(IR~'"
\ . . ",'"?!i<\J~~U~~ORY::O~il~g;NSTRU~~9!:,r\\ .;',~~IVli~J'v
[K] I or 2 famIly dwellmg 0 Multl-fwUlly D Accessory BUlldmg
I SrrE':YNEORMA TION!'Ati1D~LOCAiiQN'lj;l1
, "UIIIBRl/ w ,'IJ~I'hlkll ""'1,, "7n.j~likM4\
I Job no.: I Job address: 568 S 53RD ST
CIty/State/ZIP: SPRINGFIELD, OR 97478-6787
Smte/bldg.!apt.no .
I Project name: THOMAS
Cross street/directIOns to Job sIte:
) ,,~"III'%Hvr ~~~ =i ~m I 'II' ""~~.,,,~
. ;E!=u~I$PHEDl!.(!=>>~2;tr,
I DescnptlOn I Qty I
I\4Heatili';IC~lilig1apHIiari.ces-<';;%r\'~" '
r <- ~(WI~''WJ!ffi:';'q>>$'~ $",",,, ~X,'~I <j<-\%i"d" ~ W"Phl1llliliti" (", t "
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
., I ElectTlc Furnace
I Duct alterations and addItIOns
I Gas heater Unlts/ m-wall, m-
duct, suspended, etc/
I Vent, flue, lmer for above
AIT ConditIOner
I SubdIvIsIOn: I Lot no.:
I Tax map/parcel no. 1802042103000
I ,
INSTALLATION OF A HEAT PUMP AND AIR HANDLER
Heat Pump
I Air Handler
rOihUiru~?~~I~~iDgl'af~IWt~~i '
I Water heater
I Gas firepl ace/msert/stove
I Gas log/log hghter
I Gas clothes dryer
I Gas stove/range
Pool or spa heater, kiln
Wood/pellet stove/msert
I Wood fireplace
I Chlmney/lmer/flue/vent w/o
apphance
'>>, ~I ,I ~0*~wt4 ~ <,,^Ili!921W~r'&'" I ,m ~"b"t8 i%h~j I N
,~~yironme""'~!~!~l~u~t ~D1V~"I~JI~I~~1I I ~'\"\1I.'\II#l'INi
I
I
II
II
"I
Ea. Total I
I
I
I
I
I
I
$1400 $14001
$900 $9001
I ~!"II"iJ1ViJlltSI'FE.,CONfA'Cf"d~141\ I' ;1, I
"' ,~ <<-"i<'"'M"~IIW"I'''""'1 '" ~ I <e;;0ijA~I&,ii"
[Name: WILLIAM THOMAS
I Phone: (541) 514-5152 I Fax.
IEmad'
[ , ! ,,', 'wl,+il$'*CONTRACfo"'R~!t1Flillfi 'd;
CCB he. no: 25790 ',\)1..++....,'" . ! 11\111 liLI.,.;
I Busmess Name. MARS HALLS INC
I Contact. Cevm WhIte
I Address: 4110 OLYMPIC ST
I CIty/State/ZIP: SPRINGFIELD, OR 974785620
I Phone' (541)7477445 I Fax: (541)7410821
I Emall: cevm@marshallsmc com
I Metro he no.: I CIty he. no.: CCB 25790
Range hood
I Clothes dryer exhaust
Smgle-duct exhaust (bathrooms,
tOIlet compartments, utlhty
rooms)
Attic/crawlspace fans
I
'I
Upon review and approval by your local jUriSdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
I I upto first 4 outlets( enter Qty= I)
I I each addItIOnal outlet
I IL ,"!''''~~MECHANICAL PERMjT~EEES1~1
I I' ! ~"""; , , WI~'~~;~;~;' , $23 00 I
II Mmlmum fee used mstead of Subtotal $5000 I
I State Surcharge (12% of permIt fee) $6 00 I
I CIty Of SpTlngfield fees * I $27 50
I TOTAL PERMIT FEE I $83 50
* CIty OfSprmgfield 10% Local Admm Fee, 5% Local Technology Fee,
$10 Issuance Fee
NOTE ThiS AuthOrization To Begin Work expires within 180
days If a permit IS not obtained
The local building department may determine that an
AuthOrization To Begm Work IS null and void if it does not
meet apphcable land use laws and local ordmances
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
54i-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00747
COM2008-00747
COM2008-00747
COM2008-00747
COM2008-00747
COM2008-00747
COM2008-00747
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000764
Date: OS/28/2008
Description
Heat Pump
AIr Handling UOlt Up to 10,000
Mmlmum! AdJustment MechaOlcal
~MechaOlcallssuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmIstratIve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthonzatlOn
Received By Batch Number Number How Received
ddk
ONLINE MARSHAL Onlme
LS INC
Payment Total:
Page 1 of 1
1:06:01PM
Amount Due
1400
9.00
2700
20.00
250
600
500
$83.50
Amount Paid
$83.50
$83.50
5/28/2008